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29D2225108 CLIA NUMBER - WALGREENS #03922

Laboratory Demographics

CLIA Number: 29D2225108

Facility Name: WALGREENS #03922

Facility Address:
7599 W LAKE MEAD BLVD
LAS VEGAS, NV
ZIP 89128
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Facility Phone Number: 702 363-4622

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1700891769

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 29D2225108
LAB Type Pharmacy
Facility Name WALGREENS #03922
Street 7599 W LAKE MEAD BLVD
City LAS VEGAS
State NV
ZIP 89128
Phone 702 363-4622
CertificateType 4
CertificateEffectiveDate 5/18/2023
CertificateExpirationDate 5/17/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024